Nominate Your CHC Hero!
Please fill out the form below by Sunday, August 8th to nominate your co-workers. Winners will be selected by a panel the week of August 10th. We'll announce the winner on our social media later that week. Follow us on Facebook, LinkedIn, and Instagram so you don't miss the announcement.
Your Name:
*
Your Email Address:
*
Name of Nominee:
*
Nominee's Email Address:
*
example@example.com
Name of Nominee Health Center:
*
Nominee's Address (to mail award)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell Us Why They're A Hero:
*
Send Us a Picture of Your CHC Hero
*
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